Organization
NORTH IREDELL PHARMACY, INC
Active
Other names
NORTH IREDELL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARLIN (OWNER)
(704) 872-0880
Entity
Organization
Contact information
Practice address
979 W MEMORIAL HWY, HARMONY, NC 28634-9352
(704) 539-4727
(704) 539-5127
Mailing address
837 N CENTER ST, STATESVILLE, NC 28677-3222
(704) 872-0880
(704) 871-0440
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409047
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/29/2007
Last updated
12/15/2009
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